| Dr. Celena Horton, Licensed Clinical Social Worker, Inc. | |
|
11799 Sebastian Way Ste 103 Rancho Cucamonga CA 91730-0708 | |
| (909) 428-7241 | |
| (833) 788-9931 |
| Full Name | Dr. Celena Horton, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11799 Sebastian Way Ste 103, Rancho Cucamonga, California |
| Authorized Official Name and Position | Celena Horton (CEO) |
| Authorized Official Contact | 9094287241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Celena Horton, Licensed Clinical Social Worker, Inc. Po Box 311220 Fontana CA 92331-1220 Ph: (909) 428-7241 | Dr. Celena Horton, Licensed Clinical Social Worker, Inc. 11799 Sebastian Way Ste 103 Rancho Cucamonga CA 91730-0708 Ph: (909) 428-7241 |
| NPI Number | 1730852815 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Medicare PECOS PAC ID | 2668876277 |
|---|---|
| Medicare Enrollment ID | O20210804001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730852815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Celena Lcsw Horton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215232376 PECOS PAC ID: 3577967181 Enrollment ID: I20210812001462 |
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